Abstract
The management strategy for pediatric traumatic pancreatic injury, which involves the laceration of the main pancreatic duct, has never been standardized. We report herein two cases of complete traumatic pancreatic transection in patients who underwent percutaneous transgastric drainage tube placement. The patients were a 14-year-old boy and a 7-year-old boy. They were admitted to our hospital with type IIIb pancreatic injury (Japanese Association for the Surgery of Trauma). Because the initial conservative therapies were ineffective, a percutaneous transgastric stent tube was placed between the stomach and the transected pancreas stump to drain the pancreatic juice into the stomach and to preserve the distal part of the transected pancreas. In both patients, although the transient drainage was effective and the symptoms promptly resolved without any complications, an internal fistula did not form, resulting in the atrophy of the distal pancreas. In conclusion, transgastric stent tube placement is effective for transient drainage, but further improvement is required for permanent internal fistulization.
